Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $5,623.41 / $5,623.41	Facility		$223.87	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $309.03	Professional		$173.78	$223.87	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $616.60	Facility		$173.78	$223.87	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $870.96	Facility		$173.78	$223.87	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $549.54	Professional		$346.74	$346.74	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,230.27	Facility		$933.25	$933.25	$1,230.27